Provider Demographics
NPI:1174115745
Name:CASTRO, ALONDRA (LP-MHC)
Entity type:Individual
Prefix:MS
First Name:ALONDRA
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LP-MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 WESTCHESTER AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4586
Mailing Address - Country:US
Mailing Address - Phone:914-565-9149
Mailing Address - Fax:914-925-5579
Practice Address - Street 1:148 WESTCHESTER AVE APT 2
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4586
Practice Address - Country:US
Practice Address - Phone:914-565-9149
Practice Address - Fax:914-925-5579
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP108618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health